| Bibianas Medical Concierge And Iv Lounge Llc | |
|
1414 16th St Vero Beach FL 32960-3625 | |
| (772) 584-3873 | |
| (772) 999-5815 |
| Full Name | Bibianas Medical Concierge And Iv Lounge Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1414 16th St, Vero Beach, Florida |
| Authorized Official Name and Position | Vivian Torres-olsen (OWNER) |
| Authorized Official Contact | 7725843873 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bibianas Medical Concierge And Iv Lounge Llc 1414 16th St Vero Beach FL 32960-3625 Ph: (772) 584-3873 | Bibianas Medical Concierge And Iv Lounge Llc 1414 16th St Vero Beach FL 32960-3625 Ph: (772) 584-3873 |
| NPI Number | 1811655160 |
|---|---|
| Provider Enumeration Date | 12/03/2021 |
| Last Update Date | 08/17/2022 |
| Medicare PECOS PAC ID | 5799169983 |
|---|---|
| Medicare Enrollment ID | O20220907003389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811655160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Vivian Torres-olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912434812 PECOS PAC ID: 8022356112 Enrollment ID: I20190215000158 |
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